NPI 1679189112 · live from the CMS NPI Registry
Tara Baxter, MD
Orthopaedic Surgery in Marlborough, MA. National Provider Identifier 1679189112, active.
NPI record
| NPI | 1679189112 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 65 Fremont St Ofc 1, Marlborough, MA 01752 |
| Practice phone | 508-485-3665 |
| Enumerated | September 21, 2020 |
| Last updated | May 29, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery, Sports Medicine | 207XX0005X | 290415 (MA) |
| Orthopaedic Surgery, Orthopaedic Trauma | 207XX0801X | 290415 (MA) |
| Orthopaedic Surgery primary | 207X00000X | 290415 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.